Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenza Fertitta

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386448090

Kenza Fertitta is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 444-5437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1386448090
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2025
Last updated in NPPESApril 2, 2025
Certification dateMarch 29, 2025
Mailing address101 Nicolls Rd, Stony Brook, NY 11794-0001

Other providers in Stony Brook